Use this Benefits eForm to enroll in benefits as a Newly Eligible UC employee. This example demonstrates enrolling in benefits as a New Hire. Newly Eligible also applies to Inter-Campus Transfers, Job/Work Hours Changes and Rehires.

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Forms Library > Access Forms > Benefits eForms: Submit New Form

Detailed information and guides for UC Benefits Plans is available on UCnet: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html

Note: This example uses sample images as seen on a computer. Sample images appear differently on a tablet or smartphone, but the steps remain the same.